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Difficulties with percutaneous endoscopic gastrostomy (PEG): a practical guide for the endoscopist
1Cork University Hospital, Wilton, Cork, Ireland. Seamus.omahony@hse.ie
Irish Journal of Medical Science
|August 22, 2012
Summary
This review discusses appropriate patient selection for percutaneous endoscopic gastrostomy (PEG) to ensure effective long-term nutrition. Strategies are provided to guide difficult decisions in complex cases, improving patient care.
Area of Science:
- Gastroenterology
- Clinical Nutrition
- Medical Interventions
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a vital intervention for long-term nutritional support in patients with inadequate oral intake.
- The utilization of PEG procedures has seen a consistent increase since the early 1990s.
- Concerns regarding the inappropriate application of PEG insertions are growing among performing endoscopists.
Purpose of the Study:
- To review and address challenges associated with PEG insertion.
- To focus on specific difficult areas including dementia, stroke, and aspiration pneumonia.
- To examine the role of PEG in facilitating hospital discharge.
Main Methods:
- Comprehensive literature search utilizing Pubmed.
- Inclusion of the author's extensive personal clinical experience.
Main Results:
- Identified key areas of concern in PEG utilization.
- Highlighted specific patient populations and clinical scenarios requiring careful consideration.
- Provided insights into the practical application of PEG for discharge planning.
Conclusions:
- Outlined strategies to enhance patient selection for PEG procedures.
- Described a practical framework for navigating complex clinical decisions regarding PEG use.
- Aimed to optimize the appropriate use of PEG for improved patient outcomes.
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